HELPING ENHANCE ADHERENCE TO ANTIRETROVIRAL THERAPY (PROJECT HEART)

Details

• Corporate Authors:
  National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (U.S.). Division of HIV/AIDS Prevention
• Description:
  Project HEART is a social support/problem-solving intervention delivered one-on-one and through group sessions to HIV-positive clinic patients and their support partners. The core intervention consists of 5 individual/dyadic sessions delivered just before (2 sessions) and in the first two months after (3 sessions) initiation of antiretroviral therapy. In addition to the core intervention, there are five phone contacts between intervention sessions, 2-6 group educational sessions, and a booster session at 6 months after initiation of medication. Each patient identifies a support partner, who is required to attend at least 2 of the first 4 sessions, one of which needs to be a pre-medication session. For the core intervention, Session 1 consists of a structured needs assessment, detailed medication education, mapping the patient’s daily schedule, and tailoring the medication regimen to correspond with regularly occurring events. Session 2 focuses on identifying adherence barriers, adjusting the regimen schedule if necessary, generating strategies to overcome the barriers, and developing an individualized adherence plan. At each subsequent meeting (Sessions 3-5 and the 6-month booster session), the interventionist follows the Semi-Structured Interview for Developing Medication Adherence Plans (SIDMAP) to review current circumstances, evaluate whether the strategies have been enacted and are working, generate new strategies if necessary, and update the list of barriers. An abbreviated version of the SIDMAP is also used in the brief follow-up calls and a MEMS SMART cap is used to provide participants with additional cues.
• Subjects:
  Acquired Immunodeficiency Syndrome Acquired Immunodeficiency Syndrome / Epidemiology Data Interpretation, Statistical Epidemics Epidemiological Monitoring HIV Public Health Surveillance Statistics Tables
• Keywords:
  DHP_HIV_Reports PRS Project HIV Compendium
• Series:
  Compendium of Evidence-Based Interventions and Best Practices for HIV Prevention
• Publisher:
  Centers for Disease Control and Prevention (CDC) (U.S.)
• Document Type:
  Text
• Genre:
  Report
• Place as Subject:
  United States
• Rights:
  Public Domain
• CIO:
  National Center for HIV, Viral Hepatitis, STD, and Tuberculosis Prevention (NCHHSTP)
• Division:
  DHP - Division of HIV/AIDS Prevention
• Topic:
  Diseases & Conditions
• Location:
  North America
• Collection(s):
  Infectious Diseases
• Main Document Checksum:
  urn:sha-512:7a30bd8fad722f424992ba7534f35ec4144566f46facf9e270f77cf7e718d1a10c83262a62752379c25f3f521169cb2da0961ef184c3a99aa8b08eb525b3e975
• Download URL:
  https://stacks.cdc.gov/view/cdc/149425/cdc_149425_DS1.pdf
• File Type:
  [PDF - 341.15 KB ]